| NPI | 1700418142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATRECE JENKINS Director 770-276-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-03-29 |